Provider Demographics
NPI:1518259555
Name:HELM, NICOLA (RDHAP)
Entity Type:Individual
Prefix:MRS
First Name:NICOLA
Middle Name:
Last Name:HELM
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:HELM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30081 HARVESTER RD
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-3756
Mailing Address - Country:US
Mailing Address - Phone:310-386-9879
Mailing Address - Fax:310-278-1519
Practice Address - Street 1:30081 HARVESTER RD
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-3756
Practice Address - Country:US
Practice Address - Phone:310-386-9879
Practice Address - Fax:310-278-1519
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist